Erica Kilgore

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA16367 Issued in FL

Practice address

4341 Lazio Way Apt 1203
Fort Myers, FL 33901-9622

Phone

(863) 448-2013

NPI assigned

May 17, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandpiper Speech and Language Therapy LLC

  • Hearing and Speech Clinic/Center
  • Fort Myers, FL
  • NPI 1063133205

  Speech-Language Pathologist

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1255997953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 LAZIO WAY APT 1203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 LAZIO WAY APT 1203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019622",
            "telephone_number": "863-448-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9160 Forum Corporate Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339057805",
            "country_code": "US",
            "telephone_number": "239-312-9001",
            "fax_number": "239-206-5074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "ERICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidspace Behavioral Therapy LLC
• Kidz Pediatric Multispecialty
• Elisabeth Kieffer, M.A., L.M.H.C.
• Anjanet Kiesel, MA, LMHC
• Yolanda Kieser, DMD
• Iuliana Kiliment, M.D.
• Debra Killackey
• Edward J Killeen, M.D.
• Christine Kilpatrick, PT
• Su Kim-Hummel

• Speech-Language Pathologist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.